A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol (Proventil). The child's mother tells the nurse that she uses this medication to open her son's airway when he is having trouble breathing. What is the nurse's best response?- Skildor

Question 1 of 5

A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol (Proventil). The child's mother tells the nurse that she uses this medication to open her son's airway when he is having trouble breathing. What is the nurse's best response?

A. Recommend that the mother bring the child in for immediate evaluation B. Advise the mother that overuse of the drug may cause chronic bronchitis C. Assure the mother that she is using the medication correctly D. Confirm that the medication helps to reduce airway inflammation

Correct Answer: C

Rationale: The correct response is to assure the mother that she is using the medication correctly. Albuterol is a beta-adrenergic agonist that helps open the airways during an asthma attack. By reassuring the mother, the nurse reinforces the correct usage of the medication, which is crucial in managing the child's asthma symptoms effectively.

Question 2 of 5

A 6-year-old child with a history of asthma is brought to the clinic with complaints of wheezing and shortness of breath. The nurse notes that the child is using accessory muscles to breathe. What should the nurse do first?

A. Administer a bronchodilator B. Obtain a peak flow reading C. Apply oxygen D. Perform a complete respiratory assessment

Correct Answer: A

Rationale: Administering a bronchodilator is the initial priority as it helps open the child's airways, reducing the wheezing and shortness of breath. This intervention aims to provide immediate relief and improve the child's respiratory distress.

Question 3 of 5

A 4-year-old child is brought to the clinic with complaints of ear pain and fever. The practical nurse suspects otitis media. Which symptom supports this suspicion?

A. Clear nasal discharge. B. Dry, hacking cough. C. Tugging at the ear. D. Sore throat.

Correct Answer: C

Rationale: Tugging at the ear is a common symptom in children with otitis media. It often indicates discomfort or pain in the ear, suggesting inflammation or infection in the middle ear. This behavior is frequently observed in young children who are unable to express their discomfort verbally, making it a significant clinical indicator for otitis media in this age group.

Question 4 of 5

When should oral hygiene practices start for an infant according to the American Dental Association guidelines?

A. There is no need to begin until after all of the child's baby teeth are in. B. You don't have to worry about that until your child can handle a toothbrush. C. You can begin now using toothpaste on a gauze pad and wiping the gums. D. Begin wiping the teeth with a washcloth and water when the first tooth appears.

Correct Answer: D

Rationale: According to the American Dental Association guidelines, oral hygiene practices should start as soon as the first tooth appears. At this stage, using a soft cloth and water to clean the infant's gums and teeth is recommended to establish good oral hygiene habits early on and prevent dental issues.

Question 5 of 5

A child with sickle cell anemia is being treated for a vaso-occlusive crisis. Which intervention should the practical nurse (PN) implement?

A. Apply cold packs to painful areas. B. Encourage increased fluid intake. C. Administer high doses of vitamin C. D. Provide low-calorie meals.

Correct Answer: B

Rationale: Encouraging increased fluid intake is crucial in managing vaso-occlusive crises in patients with sickle cell anemia. Dehydration can worsen these crises, so adequate hydration is essential to prevent complications and improve outcomes.

HESI Pediatric Practice Exam

Skildor

HESI RN

HESI RN

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